Individual provider Active NPI

Quteria Teague

  • Prosthetic/Orthotic Supplier
  • Orlando, FL
National Provider Identifier
1205580974
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
418 N Pine Hills Rd Ste H
Orlando, FL 32811-1653
Phone
(407) 613-6031
Fax
(407) 890-1462
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

418 N Pine Hills Rd Ste H
Orlando, FL 32811-1653

Mailing address

418 N Pine Hills Rd Ste H
Orlando, FL 32811-1653
Phone (407) 613-6031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endless Comfort Care Inc CurrentSince Mar 24, 2024 Accepting new patients
The Wig Factory Prosthetic/Orthotic Supplier CurrentSince Feb 13, 2022 Accepting new patients

Locations

418 N Pine Hills Rd
Ste H
Orlando, FL 32811
Phone (407) 613-6031

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1205580974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N PINE HILLS RD STE H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111653",
            "telephone_number": "407-613-6031",
            "fax_number": "407-890-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N PINE HILLS RD STE H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111653",
            "telephone_number": "407-613-6031",
            "fax_number": "407-890-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "QUTERIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.